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Contact Information

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
211 S 3RD ST
BELLEVILLE, IL62220-1915
 Phone: 618-234-2120
 Fax: 618-222-4761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER · (Female)

NPI # 1194736728
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2006
Last updated 01/21/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 0002345
  • IL License # 041.334033
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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